Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Primary Care > T4 - Liver > Flashcards

T4 - Liver Flashcards

1
Q

Types of hepatitis (5)

A

Viral
Alcoholic
NAFLD
Drug-induced
Autoimmune

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The Hepatitis virus that is spread by ingestion?

A

A and E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The hep virus that is spread parenterally?

A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The hep viruses that are spread parenteral, sexual contact?

A

B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

All hep viruses are tested for using IgM except for?

A

Hep C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which hepatitis is more high risk in pregnancy?

A

Hep E

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

IgM is ______ it leaves 6mo after an acute infx.
IgG ___ it will be present after infection.

A

Immediate.
Stays.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Someone who has a negative anti-HBs

A

Has never had HBV or vaccine - they are susceptible.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Someone who has a positive anti-HBs. AND a positive anti-HBc

A

Is immune to HBV from a natural infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Anti-HBs positive shows immunity through ______
Anti-HBc positive shows immunity through _____

A

Vax
Natural infx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If the HBsAg is positive:

A

The patient has a current acute or chronic HBV infx.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

POs IgM anti-HBcand negative anti-HBs means

A

Acute infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What should you consider before selecting medication to treat HEPC

A

There are different genotypes of HCV - need to test to see which one to select the best medication to target that specific genotype.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Screening for HCV

A

18 and older - once lifetime
<18 - if risky behavior.
Routine prenatal screening with every pregnancy.
Annual for IV drug users and HIV infected MSM and MSM who take PrEP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

_____ % of HCV infections clear, and ______% are chronic.

A

15-25%
75-85%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

______% of chronic HCV patients develop cirrhosis over 20 year.

A

10-20%

17
Q

2 step testing for HCV:

A

Antibody - negative - no infx
Positive -> HCV RNA -> positive: current HCV infx, Negative, past infx

18
Q

T/F: the gold standard for dx of cirrhosis is liver biopsy and it is always performed.

A

False.Gold standard IS liver biopsy, but many risks, so alternatives are usually used.

19
Q

Most common Hepatitis causes?

A

Hep C and alcohol

20
Q

How does a fibroscan work?

A

It measures the stiffness of the liver to stage the degree of liver fibrosis.

21
Q

Earliest s/s of liver cirrhosis:

A

Pruritis, wt loss, fatigue, weakness, malaise, dark urine and pale stools.

22
Q

What MELD-Na score do you need to refer for liver transplant?

A

> 17

23
Q

3 types of HIV testing - which one can give you the earliest recognition?

A

NAT test - w/in 10-13 days of exposure. The rest are over 18-90 days.

24
Q

interdisciplinary care for patients with HIV

A

SW, MH, nutrition, substance abuse, dental, ophtho, colonoscopy, mammogram, pap (if age appropriate) and ID.

25
Q

Your HIV + patient presents with oral thrush. What should you do?

A

Start prophy for pneumocystitis PNA

26
Q

If you patient with HIV has a CD4 ct below 200, then

A

Start daily Bactrim for infx prophy.

27
Q

In an acute HIV infection, the viral load will be ____ and the CD4 count will be ____. As the acute phase wanes, these levels with alternate. Don’t confusion this _____ CD4 count with the ____ CD4 count in AIDS.

A

Hight
Low
Low
Low

28
Q

How often do you f/u with patients with HIV?

A

3-6mo

29
Q

Administer PEP no later than ______

A

72hours post exposure

30
Q

T/F: PEP is safe during pregnancy

A

True.

31
Q

Why should you repeat HIV testing in 24weeks for a patient who is co-infected with HepC?

A

HepC has been shown to delay the HIV sero-conversion.

32
Q

What must you do before starting PrEP?

A

Documented negative 4th gen HIV test.
Rapid HIV POC HIV test negative and no high risk sex 3 weeks prior to starting
No s/s of acute HIV infection
Normal renal fxn
Doc Hep B SAb POs.

33
Q

After starting PrEP, follow up in _____. What should you assess at this f/u visit?

A

3mo
Med adherence, HIV test, behavioral risk support, med SEs, STI s/s, renal fxn, STI test Q6 o.

34
Q

T/F: your patient has been prescribed PrEP. They are protected right after their first dose.

A

False. PrEP takes 7 days for adequate rectal tissue protection, and 20 days for blood and vaginal tissue protection.

Adult Primary Care (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions